Question

A 59-year-old with last-known-well 10 hours prior has left MCA syndrome, CTA showing proximal M1 occlusion; perfusion imaging shows small core/large penumbra. What is the recommended reperfusion strategy?

Accepted Answer

Mechanical thrombectomy in eligible patient

Answer

IV alteplase only

Answer

Aspirin and observe

Answer

No reperfusion beyond 6 hours

Answer

Heparin infusion

Practice question

A 59-year-old with last-known-well 10 hours prior has left MCA syndrome, CTA showing proximal M1 occlusion; perfusion imaging shows small core/large penumbra. What is the recommended reperfusion strategy?